Physician

Martin Walter Pruss, MD

According to 2025 Medicare claims, Martin Pruss, MD (NPI: 1053363861) practices family practice in the Kokomo, IN market, with the plurality of this provider's patient population coming from Howard, IN. This provider's primary affiliated billing organization is AMERICAN HEALTH NETWORK OF INDIANA, LLC (NPI: 1831236272; TIN: 352108729) and primary practice location at 46979-9146. Pruss is affiliated with the AHN Accountable Care Organization, LLC (ACO ID: A1403) and CHSPSC ACO 2, LLC (ACO ID: A3664), participating under the MSSP model.

Pruss' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 358 traditional Medicare patients, billed 2,201 HCPCS/CPT codes, and received $72,850 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 8,680 prescription claims across 795 beneficiaries totaling $1,038,293 in drug costs, led by Jardiance (Empagliflozin). DME data shows 167 claims. Open Payments data shows 2 records totaling $38. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $566,964 and ending at $1,038,293. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $24,779 and ending at $24,996.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	378	1,540	$68,634
2016	372	1,919	$82,254
2017	344	1,927	$81,007
2018	317	1,627	$71,140
2019	306	1,994	$77,354
2020	276	1,672	$59,300
2021	241	724	$28,213
2022	374	1,334	$67,068
2023	339	1,379	$64,806
2024	358	2,201	$72,850

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	486	7,619	$566,964
2016	404	9,225	$757,796
2017	413	8,680	$765,212
2018	391	8,182	$751,122
2019	397	8,012	$802,725
2020	380	7,814	$832,349
2021	501	4,614	$502,132
2022	606	3,558	$335,121
2023	676	6,556	$786,485
2024	795	8,680	$1,038,293

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	59	478	$19,609
2016	115	526	$16,047
2017	80	518	$12,980
2018	71	621	$20,447
2019	87	529	$29,230
2020	79	583	$47,153
2021	15	399	$34,479
2022	N/R	152	$27,172
2023	11	124	$18,594
2024	12	167	$26,421

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	478	$74
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	110	153	$53
G0008	Administration of influenza virus vaccine	81	82	$30
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	286	547	$10
36415	Insertion of needle into vein for collection of blood sample	255	401	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	131	7,925	$151,905
Ozempic	Semaglutide	71	3,032	$94,925
Eliquis	Apixaban	94	4,377	$85,807
Mounjaro	Tirzepatide	63	1,932	$68,789
Trulicity	Dulaglutide	36	1,960	$65,135

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$10,415
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	18	$7,715
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$3,115
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	11	$1,568
A7031	Face mask interface, replacement for full face mask, each	N	N/R	11	$1,347

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$38	Grifols USA, LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Martin Walter Pruss, MD?

Tedicare shows public-source Medicare data for Martin Walter Pruss, MD (NPI 1053363861), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Martin Walter Pruss, MD have ACO affiliation data?

Martin Walter Pruss, MD is shown with ACO affiliation data for AHN Accountable Care Organization, LLC (MSSP, ACO ID A1403) and CHSPSC ACO 2, LLC (MSSP, ACO ID A3664).

What billing organization is linked to Martin Walter Pruss, MD?

Martin Walter Pruss, MD is linked to AMERICAN HEALTH NETWORK OF INDIANA, LLC (billing NPI 1831236272) in the available physician profile data.

Does Martin Walter Pruss, MD have Open Payments data?

Martin Walter Pruss, MD has 2 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.